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Mid Facelift

A mid-face lift, also known as a cheek lift, addresses one of the earliest signs of aging – sagging of the cheeks and the surrounding area. For many, the traditional facelift may not fully treat the upper cheek and lower eyelid areas of the face, which often flatten and lengthen with age.

What it is

The mini or mid-facelift rejuvenates the central section of the face, from the lower eyelid to the upper lip, by repositioning sagging tissues and enhancing the volume of soft tissue that is lost in the midface with age, sun exposure and gravity.

What It Does

 

A mid-facelift targets the cheek and under eye area to give patients a younger, more rejuvenated appearance. Similar to the SMAS facelift, the mid-facelift manipulates the underlying muscles to create a longer lasting solution for those with sagging skin and facial features. The mid-facelift though, also suspends the cheek fat pad and the eye muscle to create a complete transformation for the middle third of the face, erasing fine lines and wrinkles around the temples.

Once the patient has been thoroughly anesthetized, the surgeon will make the initial incisions around the hairline and forehead to access the drooping facial muscles. Incisions may also be made for endoscopes to improve visualization. The doctor will then dissect the skin from the muscle in the forehead and cheek area. At this point, the surgeon will reposition the undermined muscles to their new position. The "flap" that is raised includes the SMAS muscle, malar fat pad and orbicularis oculi muscle. These muscles will then be fixated in a higher position, closer to the temples and to the sides of the rim of the eye bone. It is common for patients to combine a mid-facelift with other surgeries such as a blepharoplasty or fat grafting procedure to enhance the overall outcome.

The goal of a mid-facelift is to lift the cheek area and rejuvenate the face by addressing fine lines around the mouth and hollowing of the lower eye.

​Solution for

 

  • Hollow Eyes

  • Facial Volume

  • Fine Lines/Wrinkles

  • Facial Rejuvenation

Cost

Since it's a cosmetic procedure, the mid-facelift isn't covered by health plans: It costs around $7,500, depending on where you have it done.

During the procedure

During a mid face lift, small, deep incisions are made in the muscle tissue of the face. If the surgeon so chooses, an endoscope (a small, camera-like device) is inserted through the incisions to view the procedure internally. Once the incisions are made, the doctor adjusts the fat and muscle tissue, pulling up the middle of the face to smooth and tighten the skin.

Finally, the incisions are sutured and the healing process begins. After a mid face lift, typical recovery time is about one week, possibly shorter when endoscopic mid face lift techniques are used. Because this procedure is more focused and less invasive than a standard face lift or deep plane face lift, mid face lift patients experience quicker results with less bruising and swelling.

Techniques

 

Surgeons have two different mid facelift techniques at their disposal. In the traditional technique, the surgeon gains access to the cheeks and lower eyelids by using an incision hidden in the lower lash line. Sometimes a surgeon will also make an incision in the nasolabial fold. This traditional technique is best suited to patients primarily needing their tissues to be lifted upward, rather than horizontally or diagonally.

The second technique is able to produce somewhat more dramatic results. In this method, the procedure is performed through two endoscopic incisions placed in the temples, hidden behind the hairline. This gives the surgeon a pair of access points through which he can lift facial muscles and skin both vertically and diagonally.

After the procedure

Typically, the initial recovery period from a mid facelift lasts about one week. A mid facelift is less invasive in comparison to a traditional facelift. As a result, an individual may experience less bruising and swelling following a mid facelift surgery than he or she would after a traditional facelift procedure.

Side Effects

All surgical procedures carry some risk. Possible complications from a mid-face lift include:

  • Swelling and bruising

  • Temporary numbness under the eyes

  • Temporary muscles numbness when moving the middle portion of the face

  • Blood clots (rare)

  • Hematoma (blood under the skin) or seroma (fluid under the skin)

  • Infection

  • Hair loss along the incision

  • Healing problems

What Could Go Wrong


A facelift can occasionally result in problems, including:

  • a collection of blood underneath the skin (haematoma)

  • nerve injury and loss of sensation or movement in the face

  • asymmetrical facial features  – including the position of the earlobe 

  • hair loss or a small but permanent reduction in hair growth around the scars

  • thick, obvious scars developing

  • Any type of operation also carries a small risk of:

  • excessive bleeding

  • developing a blood clot in a vein

  • infection

  • an allergic reaction to the anaesthetic


The surgeon should explain how likely these risks and complications are, and how they would be treated if they occurred.

 

Occasionally, patients find the desired effect wasn't achieved and feel they need another operation. You should check how this would be funded with your surgeon.

Seek medical attention immediately if you experience any of the following

  • Shortness of breath

  • Chest pain

  • An unusual heart rate

  • Severe new eye pain

  • Bleeding

  • Vision problems

Long Term Results

Mid facelift surgery results can last at least 10 years and more depending upon your age, health and lifestyle.